Active NPI
Grace Family Clinic, L.L.C.
- Family Medicine Physician
- Hammond, LA
National Provider Identifier
1093244832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRACE FAMILY CLINIC, L.L.C.
- Practice address
- 1801 C M Fagan Dr Ste 2
Hammond, LA 70403-5849 - Phone
- (985) 271-4823
- Fax
- (281) 208-2225
- NPI assigned
- Jun 6, 2017
- Last updated
- Oct 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirl Lynn Felder, DNP, APRN, FNP-BC
- Title
- Manager/Owner
- Phone
- (281) 208-2220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1801 C M Fagan Dr Ste 2
Hammond, LA 70403-5849
Mailing address
22450 Balmoral Dr
Denham Springs, LA 70726-8828
Phone (281) 208-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326372087 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1801 C M Fagan Dr
Ste 2
Hammond, LA 70403
Phone (985) 271-4823
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Houston, TX
- NPI 1144255548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792195200000",
"number": "1093244832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22450 BALMORAL DR",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707268828",
"telephone_number": "281-208-2220",
"fax_number": "281-208-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 C M FAGAN DR STE 2",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704035849",
"telephone_number": "985-271-4823",
"fax_number": "281-208-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE FAMILY CLINIC, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-06",
"last_updated": "2026-10-17",
"certification_date": "2026-10-17",
"status": "A",
"authorized_official_last_name": "FELDER",
"authorized_official_first_name": "SHIRL",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "281-208-2220",
"authorized_official_credential": "DNP, APRN, FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326372087",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.